INSIDE THIS ISSUE Hospital Spotlight HRH...................................1 President’s Message.......................................2 Hospital Spotlight TWH...................................3 Education Review/Update..............................4 Posters for Upcoming Events......................5-6 Upcoming Events and Conferences...............7 Executive Team 2017-2018 ...........................7 Contact US........... .........................................7 TORONTO CHAPTER NEWSLETTER Hospital Spotlight The Humber River Hospital (HRH) is one of Canada's largest regional acute care hospitals, serving a catchment area of more than 850,000 people in the northwest GTA. We have a total of 656 beds, 3,300 staff, approximately 750 physicians and 650 volunteers. The HRH Intensive Care Unit (ICU) has 48 physical beds that occupy the entire 6 th floor. The ICU currently operates 40 beds and expects to reach full occupancy in the next 3 years. Our ICU environment of care was designed to enhance patient and family experience. All of the patient rooms are private with a window, have patient reclining chair, and sleeper chair for family members’ use during their stay. We have a 24 hour visiting policy, and family members can stay overnight to our two courtesy rooms with shower capabilities. We have a diverse inter-professional team with a wide range of expertise and experience who delivers patient centred-care and evidence- based practices grounded on HRH values of compassion, professionalism and respect. We also provide a Nurse led Care Response Team (CCRT) in the hospital. Our current ICU initiatives are the implementation of the “ABCDEF bundle” and Family Satisfaction (FS) ICU 24 Survey. Our digital ICU utilizes and operates different electronic and information technologies and other state of the art ICU equipment. Each room has an integrated bedside terminal (IBT), a multi-purpose device for entertainment, communication, access to electronic record and education resources, control of environment such as light, temperature and tinting of windows, and scanning patient’s medications and arm bands to ensure safety. We have an integrated system that links Patient/Nurse Call system, electronic medical record, physiologic monitors, ventilators, and communication devices to support workflow efficiency, effective communication, easy access to patient information, documentation, and data management. Our ICU’s goals and objectives are aligned with HRH vision of becoming a high reliability organization. We are the first advanced digital facility in North America and we are continuing to expand our digital capabilities. Thank you CACCN for highlighting our Critical care facilities at Humber River Hospital. Jane Cornelius, RN, BScN ICU Manager Francis Cacao, RN, BScN, MN, CNCC (C) ICU Clinical Practice Leader Humber River Hospital
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INSIDE THIS ISSUE Hospital Spotlight HRH...................................1
The Humber River Hospital (HRH) is one of Canada's largest regional acute care hospitals, serving a catchment area of more than 850,000 people in the northwest GTA. We have a total of 656 beds, 3,300 staff, approximately 750 physicians and 650 volunteers.
The HRH Intensive Care Unit (ICU) has 48 physical beds that occupy the entire 6th floor. The ICU currently operates 40 beds and expects to reach full occupancy in the next 3 years. Our ICU environment of care was designed to enhance patient and family experience. All of the patient rooms are private with a window, have patient reclining chair, and sleeper chair for family members’ use during their stay. We have a 24 hour visiting policy, and family members can stay overnight to our two courtesy rooms with shower capabilities. We have a diverse inter-professional team with a wide range of expertise and experience who delivers patient centred-care and evidence- based practices grounded on HRH values of compassion, professionalism and respect. We also provide a Nurse led Care Response Team (CCRT) in the hospital. Our current ICU initiatives are the implementation of the “ABCDEF bundle” and Family Satisfaction (FS) ICU 24 Survey.
Our digital ICU utilizes and operates different electronic and information technologies and other state of the art ICU equipment. Each room has an integrated bedside terminal (IBT), a multi-purpose device for entertainment, communication, access to electronic record and education resources, control of environment such as light, temperature and tinting of windows, and scanning patient’s medications and arm bands to ensure safety. We have an integrated system that links Patient/Nurse Call system, electronic medical record, physiologic monitors, ventilators, and communication devices to support workflow efficiency, effective communication, easy access to patient information, documentation, and data management.
Our ICU’s goals and objectives are aligned with HRH vision of becoming a high reliability organization. We are the first advanced digital facility in North America and we are continuing to expand our digital capabilities.
Thank you CACCN for highlighting our Critical care facilities at Humber River Hospital.
Jane Cornelius, RN, BScN ICU Manager Francis Cacao, RN, BScN, MN, CNCC (C) ICU Clinical Practice Leader Humber River Hospital
Thanks, Karen Bennet Patient Care Coordinator Karen Meredith Patient Care Coordinator Rebecca Sinyi Advanced Practice Nurse Educator
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Every year approximately 62,000 Canadians are affected by stoke and transient ischemic attacks. It is estimated that for each symptomatic stroke there are nine silent strokes that affect subtle changes in cognitive function. The good news is due to better early recognition and early management strategies approximately 80% of stroke patients survive. New management strategies include the administration of tPA within the first 3-4.5 hours of stroke onset as well as the inclusion of mechanical thrombectomy within the first six hours of symptom onset have increased survival rates tremendously.
Looking after a patient with a newly diagnosed stroke requires frequent neurological assessments by health care providers. This monitoring will help to quickly detect any patient who develops a hemorrhagic conversion. Hemorrhagic conversion occurs when ischemic brain tissue begins to hemorrhage causing a hemorrhagic stroke to occur. Patients who experience a hemorrhagic conversion may require life saving brain surgery to evacuate the blood.
The most common neurologic assessment tool used at the bedside is the Glasgow Coma Scale (GCS). Unfortunately this scale does not capture subtle neurological changes in conscious and aphasic stroke patients. The Heart and Stroke Foundation recommends the Canadian Neurological Scale to be used to assess acute stroke patients for the first 24 hours from stroke onset. This tool is easy to use and is well tested for reliability and validity.
STROKE CARE UPDATE
To learn more about stroke recognition and treatment consider signing up to attend the CACCN’s Neuro Review course. See page 7 for Workshop.
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POSTERS OF UPCOMING EVENTS
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CACCN TORONTO CHAPTER EXCUTIVE TEAM 2016 -2017
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Thank Yous
Thank you for attending
Dynamics 2014
CNA Critical Care Certification Application: June 1- September 1/2017 Exam Period: November 1- 15
Dynamic Early Bird Registration/Tuition Coupons Expire August 24th/2017 Educational Award September 1st/2017 Visit www.caccn.ca for Award Information
Advance Ostomy Care and Management September 4th- November 12th
2017 o University of Toronto Bloomberg Nursing: Centre for Professional Development Toronto, ON